You are a case manager working with a patient newly admitted to a rehabilitation facility. When developing a care plan for this older adult, which factors should the nurse consider as being positive in this age group?
(Mark all that apply.)
A) Decreased risk taking
B) Effective coping skills
C) No participation in untested roles
D) A positive self-image
E) Resiliency
Ans: B, D, E
Feedback: Because changes in life patterns are inevitable over a lifetime, older people need resiliency and coping skills when confronting stresses and change. A positive self-image enhances risk taking and participation in new, untested roles.
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A client diagnosed with dementia is becoming increasingly unable to express complete thoughts and is having difficulty engaging in simple conversations. When communicating with this client, the nurse should
a. use words directly applicable to the client's daily routine. b. restate ideas using different words in a different sequence. c. refrain from validating the meaning of the client's responses. d. ask the client questions that require more than a yes or no answer.
The nurse is administering a drug to stimulate alpha-1 adrenergic receptors. The nurse should:
a. monitor the client's lung sounds. b. monitor the client's blood pressure. c. anticipate resolution of the client's bronchial asthma attack. d. palpate the client's radial pulse prior to administration of the drug.
Which principle of justice is influenced when excessive attention to cost containment impairs the nurse's duty to provide measures to improve health?
a. Autonomy b. Beneficence c. Confidentiality d. Justice
The parent of a child diagnosed with Ewing sarcoma asks why multiple drugs are needed to treat this cancer. Which rationale should the nurse use when responding to the client's mother?
1. The prescribed drug protocol is needed due to the aggressive nature of the cancer. 2. The prescribed drug protocol decreases side effects. 3. The prescribed drug protocol is used in specifically in children. 4. The prescribed drug protocol involves a group of drugs that work in different modes.